Field Care Manager Nurse

Humana•Work at Home - Illinois, IL

3d•$71,100 - $97,800•Hybrid

About The Position

Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. The Field Care Manager Registered Nurse key roles and responsibilities may include the following: Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. Creates plans of care. Communicates with internal and external stakeholders. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section). Upon hire, this role will be assigned to support either MLTSS, LTSS, PI or TOC based on business needs.

Requirements

Must reside in the state of Illinois.
Registered Nurse in the state of Illinois without disciplinary action.
2+ years of experience of in-home case/care management.
Experience working with the adult population.
Knowledge of community health and social service agencies and additional community resources.
Exceptional communication and interpersonal skills with the ability to quickly build rapport.
Ability to work with minimal supervision within the role and scope.
Ability to use a variety of electronic information applications/software programs including electronic medical records.
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
Excellent keyboard and web navigation skills.

Nice To Haves

Bachelor of Science in Nursing (BSN).
3+ years of in-home assessment and care coordination experience.
Experience with Medicare/Medicaid members.
Experience with health promotion, coaching, and wellness.
Previous managed care experience.
Bilingual — English, Spanish.
Certification in Case Management.
Motivational Interviewing Certification and/or knowledge in area.

Responsibilities

Identifies and resolves barriers that hinder effective care.
Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
Creates plans of care.
Communicates with internal and external stakeholders.
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
Follows established guidelines/procedures.
Visits Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel.